NPIMap

Organization Active NPI

Olympus Vision PC

  • Optometrist
  • Upper Darby, PA
National Provider Identifier
1194229708
Registry record updated Sep 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003348 Issued in PA
Legal business name
OLYMPUS VISION PC
Practice address
1560 Garrett Rd Ste F
Upper Darby, PA 19082-4516
Phone
(732) 804-2232
NPI assigned
Mar 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sonal Patel, OD
Title
Treasurer
Phone
(610) 623-0039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG003348 PA Primary

Addresses

Primary practice location

1560 Garrett Rd Ste F
Upper Darby, PA 19082-4516

Mailing address

1560 Garrett Rd Ste F
Upper Darby, PA 19082-4516
Phone (610) 623-0039

National Provider Directory

National Provider Directory

Locations

1560 Garrett Rd
Ste F
Upper Darby, PA 19082
Phone (610) 623-0039

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536451200000",
    "number": "1194229708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 GARRETT RD STE F",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190824516",
            "telephone_number": "610-623-0039",
            "fax_number": "610-623-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 GARRETT RD STE F",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190824516",
            "telephone_number": "732-804-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPUS VISION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-09-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SONAL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "610-623-0039",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.